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HCR MANOR CARE SERVICES OF FLORIDA III LLC NPI 1669768594


NPI Information

NPI: 1669768594
Provider Name: HCR MANOR CARE SERVICES OF FLORIDA III, LLC

Doing Business As: PROMEDICA HOSPICE (BROWARD)

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 10D1032984

Address:
150 S PINE ISLAND RD STE 540
PLANTATION, FL
ZIP 33324
Phone: (954) 467-7423
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HCR MANOR CARE SERVICES OF FLORIDA III, LLC is a hospice care community based in Plantation, FL. HCR MANOR CARE SERVICES OF FLORIDA III, LLC NPI is 1669768594. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Hospice (broward).

The provider's business location address is:

150 S PINE ISLAND RD STE 540
PLANTATION, FL
ZIP 33324-667
Phone: (954) 467-7423
Fax: (954) 467-7087

The provider's authorized official is Martin D Allen .
The authorized official title is Director and has the following contact phone number (419) 252-5734.

The CLIA number assigned to this NPI record is 10D1032984 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2011 and was last updated on 1/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedNo
2251G00000XHospice Care, Community BasedFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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